Organization
TBI RESIDENTIAL AND COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
2016 W SUPERIOR ST, DULUTH, MN 55806-3524
(218) 733-1331
Mailing address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 922-6776
(952) 922-6885
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394034
—
MN
Enumeration date
11/20/2020
Last updated
03/04/2023
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